Old concepts revised and new solutions derived in plastic surgery
The data sets created in these files were all collected from cadaver studies. They represent the anatomical findings of the arterial skin and muscle perforators of the dissected specimens of the upper and lower extremities. The Order LPTF (long peroneal turn-over flap) contains the data for this novel flap from the corresponding cadaver study. This refers to the maximum size of the flap that can be prepared per cadaver lower leg, whereby the donor site can still be closed primarily. In addition, the order specifies the distance in centimetres between the blood-supplying flap perforator and the cranial fibula tip, as well as its diameter in millimetres. The average value of the figures is also provided. The SISAP folder also contains data for this novel flap from the corresponding cadaver study. This refers to the maximum size of the DMCA flap that can be prepared from the cadaver forearm/back of the hand with an extension towards the distal forearm, whereby the donor site can still be primarily closed. In addition, the distance in centimetres from the distal tip of the flap to the blood-supplying skin perforator found in the distal direction during preparation is also specified. The SpatialDorsalWristPerforatorPositionAverage table lists the data from the cadaver study on 10 forearms. The area examined on the forearm is limited to 50% of the length distally, and the width is measured at the level of the wrist and in the middle of the forearm. The neutral point of the measurements is then specified, which lies exactly in the middle of the dorsal wrist. This is followed by the number of skin perforators found per possible DMCA flap with average values. Finally, the exact spatial distribution of the skin perforators in relation to the neutral point on the dorsal wrist is given. This table is a clearer version of the SpatialDorsalWristPerforatorPosition table. The DorsalPerforatorStatistics table shows the data from the cadaver study relating to the furthest and nearest skin perforator in relation to the dorsal wrist line, specifying the ‘interconnecting’ blood vessels between the back of the hand and the forearm, and whether a 2.3ICSA or 4/5ICSA blood vessel was found, with average values.